Radiological Assessment of the Kidney in Patients with Hematuria
|
|
- Beverley Montgomery
- 6 years ago
- Views:
Transcription
1 March 2005 Radiological Assessment of the Kidney in Patients with Hematuria Jeremy L. McKay, Harvard Medical School Year III
2 Hematuria Signs and Symptoms Microscopic or gross hematuria Abdominal pain Fever Polyuria, dysuria Flank pain Hematuria is common 2.5% of men ages tested positive for heme 5.4% men ages 18-54
3 Hematuria cont. Retrospective Study of 100 patients with hematuria Most Common Causes: 41.8% Neoplasia 19% BPH 9% Bladder 6% Kidney 6% Prostate 26.6% Infection 13.6% Nephrolithiasis 3.6% Congenital Abnormalities 2% Trauma 12% No identifiable cause
4 Vasculitis Renal Causes of hematuria Henoch-Schonlein purpura, periarteritis nodosa,, Wegener granulomatosis Glomerular disease Postinfectious nephritis, IgA nephropathy, Lupus, Alport,, thin basement membrane disease, Nail-patella syndrome, Fabry disease Tubulointerstitial disease Polycystic kidney disease, nephrolithiasis,, analgesic nephropathy, reflux nephropathy, tumors, infection Renal Masses Vascular, neoplastic,, congenital Vascular AV malformations, renal artery disease, renal vein thrombosis
5 US Diagnostic Imaging Methods Best to exclude urinary obstruction Can diagnose hydronephrosis and it s cause Should be performed in all patients presenting with renal failure of unknown etiology Chronic pyelonephritis with no response to therapy Doppler US to evaluate renal vascular flow
6 Diagnostic Imaging Methods CT Scan Often compliments findings with ultrasonography Non-contrast: Gold standard for radiologic diagnosis of renal stones Used to evaluate and stage renal cell carcinoma Used to diagnose renal vein thrombosis
7 Diagnostic Imaging Methods MRI Gold standard for Dx of renal vein thrombosis along with renal venography and CT MRA playing an increasing role in evaluating patients with renovascular hypertension decreasing need for renal angiography For patients with dye allergies
8 Diagnostic Imaging Methods Plain Film of the Abdomen Good for patients complaining of symptoms consistent with nephrolithiasis. Will miss small and radiolucent stones Not commonly performed on patients with renal disease
9 Diagnostic Imaging Methods Intravenous pyelogram Previously the principal radiologic technique used for patients with possible renal disease High sensitivity and specificity for detection of stones and degree of obstruction Structural disorders: Chronic pyelo, medullary sponge kidney, papillary necrosis
10 Diagnostic Imaging Methods Renal Arteriography Used less frequently due to less invasive CT and MRI Useful in Dx of polyarteritis nodosa Used in preoperative mapping of vasculature Renal Venography Useful for Dx of renal vein thrombosis
11 Diagnostic Imaging Methods Radionuclide studies Early detection of vesicoureteral reflux and scarring; More sensitive than IVP in detecting renal scars Voiding cystourethrogram Vesicoureteral reflux Retrograde/Anterograde Pyelography Relieve urinary tract obstruction Supplanted by US and CT
12 Diagnostic Imaging Methods CT Urography Combines unenhanced, nephrogenic-phase, phase, and excretory phase imaging Unenhanced- detects renal calculi Nephrogenic phase renal parenchymal abnormalities (esp. masses) Excretory phase urothelial disease Becoming standard diagnostic method
13 Renal Masses Renal masses frequently cause hematuria Characterization of the mass is essential Simple cyst, complex cyst, or solid mass Bosniak Classification System I and II benign III-IV IV possibly malignant, warranting surgery CTU, CT, US, MR
14 Patient 1: Simple Cysts on CT Contrast Enhanced Without Contrast Spiral CT Evaluation of the Kidney (in: Spiral CT: Principles, Techniques and Clinical Applications. Fishman, Jeffrey, eds. 1998)
15 Patient 2: Wilms Tumor Enlarged nonfunctioning left renal mass Spiral CT Evaluation of the Kidney (in: Spiral CT: Principles, Techniques and Clinical Applications. Fishman, Jeffrey, eds. 1998)
16 Patient 3: Renal Cell Carcinoma on contrast enhanced CT Spiral CT Evaluation of the Kidney (in: Spiral CT: Principles, Techniques and Clinical Applications. Fishman, Jeffrey, eds. 1998)
17 Patient 4: Stage III Renal Cell Carcinoma involving left renal vein Spiral CT Evaluation of the Kidney (in: Spiral CT: Principles, Techniques and Clinical Applications. Fishman, Jeffrey, eds. 1998)
18 Pyelonephritis Renal Infections Acute, chronic, reflux nephropathy Flank pain, fever, urgency Radiologic imaging: IVP CTU US
19 Patient 5: Pyelonephritis on CT BIDMC Radiology Dept.
20 Patient 6: Pyelonephritis on CT BIDMC Radiology Dept.
21 Patient 7: Pyelonephritis on CT.med.wayne.edu/ diagradiology/tf/gu/gu09.html
22 Renal Calculi Nephrolithiasis Common cause of hematuria 12% will develop kidney stones Plain film not as sensitive as unenhanced CT CT (unenhanced) for renal calculi US also useful for detecting renal calculi as well as hydronephrosis Colicky pain
23 Patient 8: Right Hydronephrosis on IVP urologyassociates.com/ stonepuz.html
24 Patient 9: Left Renal Pelvis Obstruction on CT Spiral CT Evaluation of the Kidney (in: Spiral CT: Principles, Techniques and Clinical Applications. Fishman, Jeffrey, eds. 1998
25 Congenital Anomalies Some congenital anomalies in the urinary tract can cause hematuria Well visualized with CT, US, IVP, and MR imaging
26 Patient 10: Adult Polycystic Renal Disease Spiral CT Evaluation of the Kidney (in: Spiral CT: Principles, Techniques and Clinical Applications. Fishman, Jeffrey, eds. 1998)
27 Patient year-old male Presented to the ED with gross hematuria, flank pain, and fever lasting for two days PMH: hypercholesterolemia, HTN, PE, IVC filter, depression, s/p chole Meds: ASA 81, Coumadin 2.5, Lipitor 80, Metoprolol 50, Viagra 50, Wellbutrin 50 Exam: lbs 110/70 97% 64 Exam relatively normal Labs: UA: gross hematuria.. INR = 8
28 Patient 11: Baseline CTU w/o contrast 10/04 10/04 CT Abd. BIDMC Radiology Dept. PACS
29 Patient 11: Current CT abd w/o contrast Bilateral fat stranding Both kidneys appear larger 3/05 CTU Abd. BIDMC Radiology Dept. PACS
30 Patient 11: CT abd w/o contrast Dilated renal pelvis 3/05 CTU Abd. BIDMC Radiology Dept. PACS
31 Patient 11: CTU contrast phase Dilated renal pelvis 3/05 CTU Abd. BIDMC Radiology Dept. PACS
32 Patient 11: CTU contrast phase Dilated renal pelvis 3/05 CTU Abd. BIDMC Radiology Dept. PACS
33 Patient 11: CTU reformatted 3/05 CTU Abd. BIDMC Radiology Dept. PACS
34 Findings: Patient 11 New perinephric and periureteral fat stranding Bilateral proximal and mid ureteral wall thickening Mild bilateral hydronephrosis Both enhance symmetrically, no calculi Impression: Concerning for transitional cell carcinoma Further evaluation with retrograde ureterogram was recommended after antibiotic treatment Likely Diagnosis: Acute Pyelonephritis with possible underlying transitional cell carcinoma
35 Summary Hematuria is common Most Common Causes: Neoplasia,, infection, stones. Renal causes of hematuria Vasculitis, Glomerular disease, Tubulointerstitial disease, Renal masses, Vascular US, CT (U), MR(U), IVP are great techniques for imaging CT Urography: : Combines unenhanced, nephrogenic-phase, phase, and excretory phase Becoming modality of choice
36 Works Cited Ramesh and Kimmel. Hematuria: : An Algorithmic Apporach to Finding the Cause. Cleveland Clinic Journal of Medicine 2002; 69: Froom,, Gross, Froom, Caine, Margaliot, Benbassat.. Factors Associated with Microhematuria in asymptomatic young men. Clin Chem 1986; 32: Rithie CD, Bevan EA, Collier SJ. Importance of occult haematuria found at screening. BMJ 1986; 292: Gillat DA, O Reilly PH. Hematuria Analyzed; A Prospective Study. J R Soc Med 1987; Carter WC, Rous SN. Gross Hematuria in 110 Adult Urological Hospital Patients. Urology 1981; 18: American College of Radiology (ACR), Expert Panel on Urologic Imaging. Radiologic investigation of patients with hematuria.. Reston (VA): American College of Radiology (ACR); 2001 Joffe, Servaes, Okon,, Horowitz: Multi-Detector Row CT Urography in the Evaluation of Hematuria.. Radio Graphics 2003; 23:
37 Acknowledgements Peter Rosal,, MD Daniel Cornfeld,, MD Pamela Lepkowski Larry Barbaras, Webmaster
L. Alexandre Frigini MD; Aaron Thomas, MD; Veronica Lenge de Rosen, MD
Computed Tomography Urography (CTU) for Evaluation of Asymptomatic microscopic hematuria. Is intravenous contrast administration warranted for all patients? A retrospective evaluation utilizing ACR s Appropriateness
More informationExcretory urography (EU) or IVP US CT & radionuclide imaging
Excretory urography (EU) or IVP US CT & radionuclide imaging MRI arteriography studies requiring catherization or direct puncture of collecting system EU & to a lesser extent CT provide both functional
More informationPROFESSIONAL SKILLS 1 3RD YEAR SEMESTER 6 RADIOGRAPHY. THE URINARY SYSTEM Uz. Fatema shmus aldeen Tel
PROFESSIONAL SKILLS 1 3RD YEAR SEMESTER 6 RADIOGRAPHY THE URINARY SYSTEM Uz. Fatema shmus aldeen Tel. 0925111552 Professional skills-2 THE URINARY SYSTEM The urinary system (review anatomy and physiology)
More informationMODULE 5: HEMATURIA LEARNING OBJECTIVES DEFINITION. KEY WORDS: Hematuria, Cystoscopy, Urine Cytology, UTI, bladder cancer
MODULE 5: HEMATURIA KEY WORDS: Hematuria, Cystoscopy, Urine Cytology, UTI, bladder cancer LEARNING OBJECTIVES At the end of this clerkship, the learner will be able to: 1. Define microscopic hematuria.
More informationFive Views of Transitional Cell Carcinoma: One Man s Journey
September 2006 Five Views of Transitional Cell Carcinoma: One Man s Journey Amsalu Dabela, Harvard Medical School III Outline Overview: Renal Anatomy Our Patient s Story Diagnostic Imaging Studies Appearance
More informationR adio logical investigations of urinary system
R adio logical investigations of urinary system There are 4 main radiological Ix: 1 IVU: Intravenous urography. 2- U/S 3-CT scan 4-Radioisotope scan. Others (not frequently used): MRI, arteriography, antegrade
More informationESRD Dialysis Prevalence - One Year Statistics
Age Group IL Other Total 00-04 12 1 13 05-09 5 2 7 10-14 15 1 16 15-19 55 2 57 20-24 170 10 180 25-29 269 14 283 30-34 381 9 390 35-39 583 14 597 40-44 871 20 891 45-49 1,119 20 1,139 50-54 1,505 35 1,540
More informationAN APPROACH TO HEMATURIA. Dr Saima Ali
AN APPROACH TO HEMATURIA Dr Saima Ali Definition Microscopic hematuria hematuria is defined as the presence of 5 or more RBCs per high-power field in 3 of 3 consecutive centrifuged specimens obtained at
More informationOutline. Introduction to imaging modalities of the urinary system. Case base learning of common diseases in urinary tract
Outline Introduction to imaging modalities of the urinary system Case base learning of common diseases in urinary tract Outline Introduction to imaging modalities of the urinary system Case base learning
More informationOutline. Introduction to imaging modalities of the urinary system. Case base learning of common diseases in urinary tract
Outline Introduction to imaging modalities of the urinary system Case base learning of common diseases in urinary tract Diagnostic Investigations in Urinary System PLAIN KUB EXCRETORY UROGRAPHY RETROGRADE
More informationDisorders of the kidney. Urine analysis. Nephrotic and nephritic syndrome.
Disorders of the kidney. Urine analysis. Nephrotic and nephritic syndrome. Azotemia and Urinary Abnormalities Disturbances in urine volume oliguria, anuria, polyuria Abnormalities of urine sediment red
More informationSex: 女 Age: 51 Occupation: 無 Admission date:92/07/22
Sex: 女 Age: 51 Occupation: 無 Admission date:92/07/22 Chief complaint Unknown fever for one month Hand tremor and left huge renal tumor was noted Present illness Suffered from fever for one month, hand
More informationLec-8 جراحة بولية د.نعمان
4th stage Lec-8 جراحة بولية د.نعمان 11/10/2015 بسم هللا الرحمن الرحيم Ureteric, Vesical, & urethral stones Ureteric Calculus Epidemiology like renal stones Etiology like renal stones Risk factors like
More informationHAEMATURIA and it s management. Dr Sanjeev Bandi MBBS.,FRCSI, FRACS(Urology) Consultant Urologist Mackay Urology
HAEMATURIA and it s management Dr Sanjeev Bandi MBBS.,FRCSI, FRACS(Urology) Consultant Urologist Mackay Urology Definition: Haematuria is the presence of red blood cells in the urine. The presence of 10
More informationCHAPTER 2 NEW PATIENTS COMMENCING TREATMENT IN 2007
CHAPTER 2 NEW PATIENTS COMMENCING TREATMENT IN 27 Stephen McDonald Leonie Excell Hannah Dent NEW PATIENTS ANZDATA Registry 28 Report Figure 2.1 Annual Intake of New Patients 23-27 (Number Per Million Population)
More informationFind Medical Solutions to Your Problems HYDRONEPHROSIS. (Distension of Renal Calyces & Pelvis)
HYDRONEPHROSIS (Distension of Renal Calyces & Pelvis) Hydronephrosis is the distension of the renal calyces and pelvis due to accumulation of the urine as a result of the obstruction to the outflow of
More informationRenal Disease. Please refer to the assignment page Three online modules TBLs
Renal Disease Please refer to the assignment page Three online modules TBLs 1 Renal Embryology 2 Lab Tests UA CBC Enzymes Creatinine Creatinine clearance Ammonia Abs C Bx 3 BUN Creatinine Creatinine Clearance
More informationH(a)ematuria. FX Keeley Consultant Urologist Bristol Urological Institute
H(a)ematuria FX Keeley Consultant Urologist Bristol Urological Institute From Philadelphia to Bristol, England Southmead Hospital, 1916 Southmead Hospital, 2013 Southmead Hospital, 2014 H(a)ematuria Blood
More informationAcute Pyelonephritis
Acute Pyelonephritis Variant 1: Acute pyelonephritis. Uncomplicated patient (eg, no history of diabetes or immune compromise or history of stones or obstruction or prior renal surgery or lack of response
More informationChris McGuire Gillian Lieberman, MD. May Schistosomiasis. Chris McGuire, Harvard Medical School Year III Gillian Lieberman, MD
May 2003 Schistosomiasis Chris McGuire, Harvard Medical School Year III Overview Introduction to schistosomiasis Katayama syndrome Patient A Patient B Ultrasound detection Bladder infection Kidney infection
More informationAmerican College of Radiology ACR Appropriateness Criteria
American College of Radiology ACR Appropriateness Criteria Date of origin: 1995 Last review date: 2005 Clinical Condition: Variant 1: Hematuria All patients except those with generalized renal parenchymal
More informationA Case of Calcified Ureteritis Cystica: An Indiscernible Condition from Ureterolithiasis
Prague Medical Report / Vol. 110 (2009) No. 3, p. 245 249 245) A Case of Calcified Ureteritis Cystica: An Indiscernible Condition from Ureterolithiasis Alicioglu B. 1, Kaplan M. 2, Aktoz T. 3, Atakan I.
More informationBladder Case # 1. Principal Diagnosis: Bladder Tumor, Suspect Transitional Cell Carcinoma. Secondary Diagnoses: 1. Hypertension. 2. Hyperlipidemia.
DISCHARGE SUMMARY Bladder Case # 1 Date: 04/22/2010 Principal Diagnosis: Bladder Tumor, Suspect Transitional Cell Carcinoma. Secondary Diagnoses: 1. Hypertension. 2. Hyperlipidemia. Hospital Course: Mr.
More informationM E D I C A L T E R M I N O L O G Y
URINARY SYSTEM M E D I C A L T E R M I N O L O G Y Is the organ system which produces, stores and eliminates waste. Is responsible for waste excretion in the form of urine Fluid Intake Is necessary in
More informationAcute renal colic Radiological investigation in patients with renal colic
Acute renal colic Radiological investigation in patients with renal colic Mikael Hellström Professor Department of Radiology Sahlgrenska University Hospital Göteborg University 0.9-1.8/1.000 inhabitants
More informationHydronephrosis. What is hydronephrosis?
What is hydronephrosis? Hydronephrosis Hydronephrosis describes the situation where the urine collecting system of the kidney is dilated. This may be a normal variant or it may be due to an underlying
More informationHey Doc, there s blood in my urine Evaluation of hematuria. Christian S. Kuhr, MD FACS May 4, 2018
Hey Doc, there s blood in my urine Evaluation of hematuria Christian S. Kuhr, MD FACS May 4, 2018 Objectives Understand the algorithm for hematuria evaluation Know the differential diagnosis for hematuria
More informationIMAGING OF UPPER UT TCC
IMAGING OF UPPER UT TCC IS THERE AN EVIDENCE BASED STRATEGY? S A MOUSSA FRCS Ed, FRCR WESTERN GENERAL HOSPITAL EDINBURGH UPPER TRACT TCC 0.7-4% of patients with primary bladder cancer develops UT-TCC.
More informationURINARY TRACT IMAGING - BASIC PRINCIPLES
URINARY TRACT IMAGING - BASIC PRINCIPLES Clinical Radiology Every physician needs a basic understanding of diagnostic imaging to understand how to order the appropriate studies and to understand the resulting
More informationChapter 1. Incidence of End Stage Kidney Disease. Contents:
Chapter 1 Incidence of End Stage Kidney Disease Contents: Incidence of End Stage Kidney Disease 1-1 Stock and Flow 1-2 Incident patients 1-3 Incident Rates 1-3 Late Referral 1-7 Co-Morbidities 1-9 Primary
More informationProvider Led Entity. CDI Quality Institute PLE Renal / Kidney Calculus AUC
Provider Led Entity CDI Quality Institute PLE Renal / Kidney Calculus AUC Appropriateness of advanced imaging procedures* in patients with the following renal/kidney calculus clinical presentations or
More informationThe University of Arizona Pediatric Residency Program. Primary Goals for Rotation. Nephrology
The University of Arizona Pediatric Residency Program Primary Goals for Rotation Nephrology 1. GOAL: Understand the general pediatrician's role in diagnosis and management of hypertension in children.
More informationAlterations of Renal and Urinary Tract Function
Alterations of Renal and Urinary Tract Function Chapter 29 Urinary Tract Obstruction Urinary tract obstruction is an interference with the flow of urine at any site along the urinary tract The obstruction
More informationCASE REPORT RENAL TUBERCULOSIS CAUSE OF RENAL REPLACEMENT LIPOMATOSIS : A RARE ASSOCIATION
CASE REPORT RENAL TUBERCULOSIS CAUSE OF RENAL REPLACEMENT LIPOMATOSIS : A RARE ASSOCIATION DR ANAND AARTI 1, DR CHANDAK PRIYA 2,DR SURESH PARVATHY 3 1. PROF AND HOD, DEPARTMENT OF RADIODIAGNOSIS, GOVERNMENT
More informationA Case Report of Acute Renal Artery Occlusion Mimicking Acute Appendicitis
ISPUB.COM The Internet Journal of Surgery Volume 7 Number 1 A Case Report of Acute Renal Artery Occlusion Mimicking Acute Appendicitis S Abouel-Enin, A Douglas, R Morgan Citation S Abouel-Enin, A Douglas,
More information4 th Year Urology Core Objectives Keith Rourke (Revised June 1, 2007)
4 th Year Urology Core Objectives Keith Rourke (Revised June 1, 2007) I. Genitourinary Trauma: 1. Goal: The student will be able to demonstrate a basic clinical approach to the management & diagnosis of
More informationIndex. mri.theclinics.com. Note: Page numbers of article titles are in boldface type.
Index Note: Page numbers of article titles are in boldface type. A Angiogenesis, and cancer of prostate, 689 690 Angiography, MR. See MR angiography. Apoptosis, MR imaging of, 637 Apparent diffusion coefficient,
More informationObstructive Nephropathy
Obstructive Nephropathy Liza A. Lucero RN, FNP-C, MSN Renal Medicine Associates Conflicts No conflict of interests Obstructive Nephropathy Objectives Definition of Obstructive Nephropathy Causes Clinical
More informationRenal tumors of adults
Renal tumors of adults Urinary Tract Tumors 2%-3% of all cancers in adults. The most common malignant tumor of the kidney is renal cell carcinoma. Tumors of the lower urinary tract are twice as common
More informationCYSTIC DISEASES of THE KIDNEY. Dr. Nisreen Abu Shahin
CYSTIC DISEASES of THE KIDNEY Dr. Nisreen Abu Shahin 1 Types of cysts 1-Simple Cysts 2-Dialysis-associated acquired cysts 3-Autosomal Dominant (Adult) Polycystic Kidney Disease 4-Autosomal Recessive (Childhood)
More informationNursing Care for Children with Genitourinary Dysfunction I
Nursing Care for Children with Genitourinary Dysfunction I 1 Assessment of renal function Clinical manifestations Laboratory tests Urinalysis Urine culture and sensitivity Renal/bladder ultrasound Testicular
More informationDr P Sigwadi 30 May 2012
Dr P Sigwadi 30 May 2012 Introduction Haematuria Positive blood on urine dipstick 5 red blood cells/ microliter of urine Prevalence Gross haematuria ( macroscopic) 0.13 % Microscopic- 1.5% Haematuria +
More informationKidney & Urinary Tract Ultrasound. Fatina Fadel Hafez Bazaraa
Kidney & Urinary Tract Ultrasound Fatina Fadel Hafez Bazaraa Ultrasonography Ultrasound Available Rapid Inexpensive Painless & no sedation needed No adverse effects/ complications Can be repeated Useful
More informationUBC Department of Urologic Sciences Lecture Series. Urological Trauma
UBC Department of Urologic Sciences Lecture Series Urological Trauma Disclaimer: This is a lot of information to cover and we are unlikely to cover it all today These slides are to be utilized for your
More information10. Diagnostic imaging for UTI
10. Diagnostic imaging for UTI Key question: What is the most effective imaging test for the diagnosis of structural abnormalities of the urinary tract and/or kidney damage in children with UTI? Current
More informationObstructive Uropathy. PATHOPHYSIOLOGIC CHANGES UUO vs BUO. Arry Rodjani Urology Department Ciptomangunkusumo Hospital Jakarta
Obstructive Uropathy PATHOPHYSIOLOGIC CHANGES UUO vs BUO Arry Rodjani Urology Department Ciptomangunkusumo Hospital Jakarta INTRODUCTION Obstructive uropathy refers to the functional or anatomic obstruction
More informationAdvanced Pathophysiology Unit 7: Renal-Urologic Page 1 of 6
Advanced Pathophysiology Unit 7: Renal-Urologic Page 1 of 6 Learning Objectives for this File: 1. Understand how clinical presentation drives the diagnostic workup 2. Recognize how patient education is
More informationSurgically Discovered Xanthogranulomatous Pyelonephritis Invading Inferior Vena Cava with Coexisting Renal Cell Carcinoma
Case Study TheScientificWorldJOURNAL (2009) 9, 5 9 TSW Urology ISSN 1537-744X; DOI 10.1100/tsw.2009.6 Surgically Discovered Xanthogranulomatous Pyelonephritis Invading Inferior Vena Cava with Coexisting
More informationAcute flank pain in children: Imaging considerations
Acute flank pain in children: Imaging considerations Carlos J. Sivit MD Rainbow Babies and Children s Hospital Case Western Reserve School of Medicine Flank pain Results from distention of ureter or renal
More informationNonurographic evaluation of renal calculous disease 1
Contributions Nonurographic evaluation of renal calculous disease 1 Gregory P. Borkowski, M.D. Craig R. George, M.D. Peter B. O'Donovan, M.D. While excretory urography has been useful in the evaluation
More informationEVALUATION OF SUSPECTED RENAL COLIC PATIENTS WITH UNENHANCED LOW-DOSE MULTI-DETECTOR COMPUTED TOMOGRAPHY
190 EAST AFRICAN MEDICAL JOURNAL April 2009 East African Medical Journal Vol. 85 No. 4 April 2009 EVALUATION OF SUSPECTED RENAL COLIC PATIENTS WITH UNENHANCED LOW-DOSE MULTI-DETECTOR COMPUTED TOMOGRAPHY
More informationSemester Six Renal Module Study Guide
Spiral Two Semester Six Renal Module Study Guide A Course Title Renal MODULE B Course Co-ordinator: Dr. Irfan Ashraf C Course Committee Dr.Irfan Ashraf, Dr.Rubia Kashif Objectives of Study 1. To inform
More informationKristina M. Nowitzki, M.D., Ph.D. and Hao S. Lo, M.D. University of Massachusetts Medical School, Worcester, MA
Kristina M. Nowitzki, M.D., Ph.D. and Hao S. Lo, M.D. University of Massachusetts Medical School, Worcester, MA Outline I. Introduction highlighting normal renal enhancement physiology including normal
More informationIndex. Note: Page numbers of article titles are in boldface type.
Magn Reson Imaging Clin N Am 12 (2004) 587 591 Index Note: Page numbers of article titles are in boldface type. A Adenoma(s), adrenal, gadolinium-enhanced MR imaging in, 533 534 hyperfunctioning versus
More informationRad Lab 4 Unknowns: Genitourinary!
Rad Lab 4 Unknowns: Genitourinary! Peter Clarke MD! Don Di Salvo, MD! Clerkship Directors for Radiology! Harvard Medical School! Brigham and Women s Hospital! Dana Farber Cancer Institute! Case 1: 69 year
More informationResearch Article Ureteral Dilatation with No Apparent Cause on Intravenous Urography: Normal or Abnormal? A Pilot Study
Advances in Urology Volume 2015, Article ID 681836, 6 pages http://dx.doi.org/10.1155/2015/681836 Research Article Ureteral Dilatation with No Apparent Cause on Intravenous Urography: Normal or Abnormal?
More informationGuidelines for the management of a child with haematuria
Guidelines for the management of a child with haematuria Children s Kidney Centre University Hospital of Wales Cardiff CF14 4XW DISCLAIMER: These guidelines were produced in good faith by the author(s)
More informationCoding Companion for Urology/Nephrology. A comprehensive illustrated guide to coding and reimbursement
Coding Companion for Urology/Nephrology A comprehensive illustrated guide to coding and reimbursement 2014 Contents Getting Started with Coding Companion...i Integumentary...1 Arteries and Veins...15 Lymph
More informationRADIOLOGY OF THE URINARY TRACT CHAPTER 9 239
RADIOLOGY OF THE URINARY TRACT CHAPTER 9 239 in length. They lie cephalad to the kidneys, with the right just posterior to the inferior vena cava (IVC) and the left anteromedial to the upper pole of the
More informationContents. Review anatomy of the urinary tract Imaging modalities
Contents Review anatomy of the urinary tract Imaging modalities The Urinary Tract Kidneys ตาแหน งไต (position) อย ใน retroperitoneum ระด บ T12-L3 โดยไต ขวาจะม ระด บตากว าไตซ ายเล กน อย ร ปร าง (shape)
More informationSpecific Basic Standards for Osteopathic Fellowship Training in Nephrology
Specific Basic Standards for Osteopathic Fellowship Training in Nephrology American Osteopathic Association and American College of Osteopathic Internists BOT Rev. 2/2011 These specific basic standards
More informationNephrographic and Pyelographic Analysis of CT Urography: Principles, Patterns, and Pathophysiology
Genitourinary Imaging Review Wolin et al. CT Urography Principles, Patterns, and Genitourinary Imaging Review FOCUS ON: Ely A. Wolin 1 David S. Hartman J. Ryan Olson Wolin EA, Hartman DS, Olson JR Keywords:
More informationUrology An introduction to cut up DR J R GOEPEL
Urology An introduction to cut up DR J R GOEPEL Overview Principles Individual organs Small pieces Partial resections Whole organs Data recording and data sets Principles You are working for the patient
More informationTransducer Selection. Renal Artery Duplex Exam. Renal Scan. Renal Scan Echogenicity. How to Perform an Optimal Renal Artery Doppler Examination
How to Perform an Optimal Renal Artery Doppler Examination Director of Ultrasound Education & Quality Assurance Baylor College of Medicine Division of Maternal-Fetal Medicine Maternal Fetal Center Imaging
More informationEvaluation of Imaging Abnormalities of Ureter using MDCT Urography
DOI: 10.7860/IJARS/2017/23458:2250 Radiology Section Original Article Evaluation of Imaging Abnormalities of Ureter using MDCT Urography Vedaraju Kadaba Shamachar, Vijay Kumar Kenchanahalli Rangaswamy,
More informationCT Urography. Ureter. Stuart G. Silverman, M.D.
CT Urography Stuart G. Silverman, M.D. Professor of Radiology Harvard Medical School Director, Abdominal Imaging and Intervention Brigham and Women s Hospital Ureter Boston, MA CT Urography Stuart G. Silverman,
More informationRole of imaging in evaluation of genitourinary i trauma Spectrum of GU injuries Relevance of imaging findings in determining management Focus on MDCT
Genitourinary Tract Injuries 6 th Nordic Course Scott D. Steenburg, MD Assistant Professor University of Maryland Department of Radiology Division of Trauma and Emergency Radiology R Adams Cowley Shock
More informationSupplementary Online Content
Supplementary Online Content Smith D, Chudgar A, Daly B, Cooper M. Evaluation of potential renal transplant recipients with computed tomography angiography. Arch Intern Med. doi: 10.1001/archsurg.2012.1466.
More information2014 /2018 ERA-EDTA PRD Code ERA-EDTA PRD code 1996 ERA-EDTA. SNOMED CT concept identifier Convert ERA-EDTA Primary Renal Diagnosis (PRD) Term
Convert Primary Renal Diagnosis (PRD) Term ERA_EDTA diagnosis 3380 901.1.C 90 Acute kidney injury Acute Renal Failure 14669001 Miscellaneous renal disorders 3398 901.2.C 90 Acute kidney injury due to hypovolaemia
More informationGlomerular pathology in systemic disease
Glomerular pathology in systemic disease Lecture outline Lupus nephritis Diabetic nephropathy Glomerulonephritis Associated with Bacterial Endocarditis and Other Systemic Infections Henoch-Schonlein Purpura
More informationUreteropelvic Junction Obstruction (UPJO) syndrome: imaging with Multidetector CT (MDCT) prior to minimally invasive treatment
Ureteropelvic Junction Obstruction (UPJO) syndrome: imaging with Multidetector CT (MDCT) prior to minimally invasive treatment Poster No.: C-1753 Congress: ECR 2011 Type: Scientific Exhibit Authors: E.
More informationUrinary tract infections, renal malformations and scarring
Urinary tract infections, renal malformations and scarring Yaacov Frishberg, MD Division of Pediatric Nephrology Shaare Zedek Medical Center Jerusalem, ISRAEL UTI - definitions UTI = growth of bacteria
More informationRadiologic Features of The Pulmonary Embolus
January 2003 Radiologic Features of The Pulmonary Embolus Travis McGlothin HMSIII Mr. J is a 51 y.o. male who presented to the BIDMC ED w/ acute onset of: Lft. Hemiparesis slurred speech mild dyspnea mild
More informationGenitourinary Radiology In-Training Test Questions for Diagnostic Radiology Residents
Genitourinary Radiology In-Training Test Questions for Diagnostic Radiology Residents March, 2013 Sponsored by: Commission on Education Committee on Residency Training in Diagnostic Radiology 2013 by American
More informationUpper Tract Tcc. Mohan Arianayagam FRACS (Urology)
Upper Tract Tcc Mohan Arianayagam FRACS (Urology) Epidemiology Peak incidence 75 to 79 years 2x more common in men 7% of all renal tumours 5% of all urothelial tumours Synchronous bilateral is rare ~ 1.6%
More informationIndications and effectiveness of the open surgery in vesicoureteral reflux
Indications and effectiveness of the open surgery in vesicoureteral reflux Suzi DEMIRBAG, MD Department of Pediatric Surgery, Gulhane Military Medical Academy, Ankara, TURKEY Vesicoureteral reflux (VUR)
More informationCT Urography. Bladder. Stuart G. Silverman, M.D.
CT Urography Stuart G. Silverman, M.D. Professor of Radiology Harvard Medical School Director, Abdominal Imaging and Intervention Brigham and Women s Hospital Bladder Boston, MA CT Urography Stuart G.
More informationRequest Card Task ANSWERS
Request Card Task ANSWERS Medical Student Workbook Author: Dr Sam Leach, SpR Case 1 What differential diagnoses are most likely? Which investigation is most appropriate? Case 1 The most likely diagnosis
More informationUroradiology Tutorial For Medical Students
Uroradiology Tutorial For Medical Students Lesson 3: Cystography & Urethrography Part 1 American Urological Association Introduction Conventional radiography of the urinary tract includes several diagnostic
More informationAUA Guidelines for Imaging Known or Suspected Ureteral Calculi. Michael Ferrandino, MD Assoc Professor of Urology Duke University Medical Center
AUA Guidelines for Imaging Known or Suspected Ureteral Calculi Michael Ferrandino, MD Assoc Professor of Urology Duke University Medical Center Imaging for Urolithiasis Justification for the Guidelines
More informationNarrowings and the "McDonald Jet Sign"
ORIGINAL ARTICLE Narrowings and the "McDonald Jet Sign" Farid Sarni Haddad, M.D., F.A.C.S. Phoenix, Arizona DOI: http://dx.doi.org/10.5915/23-4-15411 Abstract The so-called ''jet sign" was first brought
More informationUroradiology For Medical Students
Uroradiology For Medical Students Lesson 4: Cystography & Urethrography - Part 2 American Urological Association Review Cystography is useful in evaluating the bladder, the urethra and the competence of
More informationPrimary Squamous Cell Carcinoma Of Kidney - A Case Report And Review Of Literature.
ISPUB.COM The Internet Journal of Nephrology Volume 6 Number 1 Primary Squamous Cell Carcinoma Of Kidney - A Case Report And Review Of Literature. P Kaur, A Chauhan, G Singh, S Kataria, R Kalra Citation
More informationDIABETES MELLITUS. Kidney in systemic diseases. Slower the progression: Pathology: Patients with diabetes mellitus are prone to other renal diseases:
Kidney in systemic diseases Dr. Badri Paudel The kidneys may be directly involved in a number of multisystem diseases or secondarily affected by diseases of other organs. Involvement may be at a prerenal,
More informationPREAMBLE GENERAL DIAGNOSTIC RADIOLOGY
PREAMBLE The General Diagnostic Radiology category is intended to cover the body of knowledge a practicing board certified Diagnostic Radiologist should know. Since the range of content relevant to the
More informationDiagnosis & Management of Kidney Trauma. LAU - Urology Residency Program LOP Urology Residents Meeting
Diagnosis & Management of Kidney Trauma LAU - Urology Residency Program LOP Urology Residents Meeting Outline Introduction Investigation Staging Treatment Introduction The kidneys are the most common genitourinary
More informationRenal Cystic Disease. Dr H Bierman
Renal Cystic Disease Dr H Bierman Objectives Be able to diagnose renal cystic disease Genetic / non-genetic Be able to describe patterns of various renal cystic disease on routine imaging studies Be able
More informationImaging Ejaculatory Disorders and Hematospermia
ATHENS 4-6 October 2018 European Society of Urogenital Radiology Imaging Ejaculatory Disorders and Hematospermia Parvati Ramchandani, MD Professor, Radiology and Surgery University of Pennsylvania Medical
More informationHydronephrosis. Nephrosis. Refers to the kidney
What is hydronephrosis? Hydro Nephrosis Refers to water or fluid Refers to the kidney A build-up of fluid (urine) in the kidney is the medical term for a build-up of urine in the kidney. As the urine builds
More informationCLINICAL PRESENTATION AND RADIOLOGY QUIZ QUESTION
Donald L. Renfrew, MD Radiology Associates of the Fox Valley, 333 N. Commercial Street, Suite 100, Neenah, WI 54956 1/22/2011 Radiology Quiz of the Week # 4 Page 1 CLINICAL PRESENTATION AND RADIOLOGY QUIZ
More informationRENAL SCINTIGRAPHY IN THE 21 st CENTURY
RENAL SCINTIGRAPHY IN THE 21 st CENTURY 99m Tc- MAG 3 with zero time injection of Furosemide (MAG 3 -F 0 ) : A Fast and Easy Protocol, One for All Indications Clinical Experience Congenital Disorders PROTOCOL
More informationCase MDCT 3D reconstructed features of posterior urethral valve
Case 12688 MDCT 3D reconstructed features of posterior urethral valve Hidayatullah Hamidi Third year Resident of Radiology French medical institute for children Radiology Department; Kabul, Afghanistan;
More informationIntravenous Pyelogram (IVP)
Scan for mobile link. Intravenous Pyelogram (IVP) Intravenous pyelogram (IVP) is an x-ray exam that uses an injection of contrast material to evaluate your kidneys, ureters and bladder and help diagnose
More informationThe Evolving Role of Antibiotic Prophylaxis for Vesicoureteral Reflux. Stephen Canon, MD Children s Urology
The Evolving Role of Antibiotic Prophylaxis for Vesicoureteral Reflux Stephen Canon, MD Children s Urology www.childrensurology.com May 17, 2008 Objectives Review literature establishing the value of antibiotic
More informationUrinary tract pathology Renal syndromes Acute nephritic syndrome syndrome includes oliguria hematuria proteinuria edema hypertension typically occurs
Urinary tract Structure [Figs. 13-1, 13-2] Kidneys (left and right) cortex (glomeruli and tubules) medulla (tubules, loops of Henle, and collecting ducts) calices and pelvis forming the collecting system
More informationRATIONALE: The organs making up the urinary system consist of the kidneys, bladder, urethra, and ureters.
Chapter 12 Section Review 12.1 1. A. Kidneys RATIONALE: The renal pelvis receives urine from the kidney, travels through the ureters on the way to the bladder, but urine is formed in the kidney. 2. C.
More informationImaging Features of Acute Pyelonephritis in Contrast Computed Tomography as Predictors of Need for Intervention
Imaging Features of Acute Pyelonephritis in Contrast Computed Tomography as Predictors of Need for Intervention Poster No.: C-0088 Congress: ECR 2014 Type: Scientific Exhibit Authors: C. Y. Lee, C. W.
More informationImaging Features of Acute Pyelonephritis in Contrast Computed Tomography as Predictors of Need for Intervention
Imaging Features of Acute Pyelonephritis in Contrast Computed Tomography as Predictors of Need for Intervention Poster No.: C-0088 Congress: ECR 2014 Type: Scientific Exhibit Authors: C. Y. Lee, C. W.
More information